Individual
DR. CHARLES RAY RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC MST
Contact information
Practice address
4514 ST ANDREWS ROAD, COLUMBIA, SC 29210
(803) 731-8121
(803) 731-8121
Mailing address
4514 ST ANDREWS ROAD, COLUMBIA, SC 29210
(803) 731-8121
(803) 731-8121
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SC1686
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1686
—
SC
Enumeration date
08/30/2006
Last updated
07/08/2007
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